Mariano Olmo Lopez, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

18950 Issued in PR

Practice address

BF1 Calle 22
Villa Universitaria
Humacao, PR 00791-4339

Phone

(787) 217-4858

NPI assigned

Nov 20, 2014

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Centro Medico del Turabo Inc

  • Multi-Specialty Clinic/Center
  • Caguas, PR
  • NPI 1710107883

  General Practice

  Medicare reassignment NPD
• Neomed Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Gurabo, PR
  • NPI 1790776334
  Medicare reassignment NPD
• Centro Medico del Turabo Inc

  • Home Infusion Therapy Pharmacy
  • Bayamon, PR
  • NPI 1811632581
  NPD
• Neomed Center, Inc

  • Clinical Medical Laboratory
  • Gurabo, PR
  • NPI 1518286962
  NPD
• Neomed Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Naguabo, PR
  • NPI 1093357337
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1416441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582243200000",
    "number": "1295132124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BF1 CALLE 22",
            "address_2": "VILLA UNIVERSITARIA",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007914339",
            "telephone_number": "787-217-4858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BF1 CALLE 22",
            "address_2": "VILLA UNIVERSITARIA",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007914339",
            "telephone_number": "787-217-4858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLMO LOPEZ",
        "first_name": "MARIANO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-11-20",
        "last_updated": "2020-02-21",
        "certification_date": "2020-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "18950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oceania Medical Center PSC
• Oficina Dental Dra Aileen E Smith
• Ohi of Puerto Rico, LLC
• Natalia Nahi Olmeda-Viera, PHARMD
• Hiram Olmeda, OPTICO
• Open Care Wellness Center
• Ruddy Hernan Oquendo Maldonado, MD
• Carmen Vanessa Oquendo, M.D.
• Oriental Ambulance Services, Inc.
• Madelyn Ortiz Brito, MA, OT/L

• Family Medicine Physician in Humacao, PR
• Providers in Humacao, PR by specialty
• Family Medicine Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.